Organization
MOONLIGHT MEDICAL TRANSPORTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL KUMAR DRIGPAL (CO-OWNER)
(559) 779-0475
Entity
Organization
Contact information
Practice address
7625 N 1ST ST, #162, FRESNO, CA 93720-0903
(559) 779-0475
(559) 227-6405
Mailing address
PO BOX 3543, FRESNO, CA 93650-3543
(559) 779-0475
(559) 227-6405
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201113610136
CA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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